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ACR-ARS Practice Parameter for the Performance of Proton Beam Therapy.
Int J Part Ther
September 2024
South Florida Proton Therapy Institute, Delray Beach, FL 33484, USA.
Purpose: This practice parameter for the performance of proton beam radiation therapy was revised collaboratively by the American College of Radiology (ACR) and the American Radium Society (ARS). This practice parameter was developed to serve as a tool in the appropriate application of proton therapy in the care of cancer patients or other patients with conditions in which radiation therapy is indicated. It addresses clinical implementation of proton radiation therapy, including personnel qualifications, quality assurance (QA) standards, indications, and suggested documentation.
View Article and Find Full Text PDFBackground: Communication failures are among the most common causes of harmful medical errors. At one Comprehensive Cancer Center, patient handoffs varied among services. The authors describe the implementation and results of an organization-wide project to improve handoffs and implement an evidence-based handoff tool across all inpatient services.
View Article and Find Full Text PDFQuality Improvement: What Is It and Who Is Responsible for It?
Nephrol Nurs J
May 2022
Manager, Quality, Informatics and Magnet Liaison for Renal Services, NYU Langone Health, NYU Langone Hospital - Long Island, Bethpage, NY.
Many opportunities exist for quality improvement activities in dialysis. As dialysis providers, it is important to know what quality measures are being evaluated. This article provides a summary of quality indicators nephrology nurses can measure and review to ensure quality patient care.
View Article and Find Full Text PDFFewer Wrong-Site Peripheral Nerve Blocks Following Updates to Anesthesia Time-Out Policy.
HSS J
July 2021
Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA.
Peripheral nerve block (PNB) has been shown to be safe and effective, and its use has continued to increase, but it is not without risks. One potentially preventable risk is wrong-site blocks (WSBs). Our institution mandated a time-out process before PNB in 2003, and then in 2007 made two more changes to our policy to mitigate risk: (1) the circulating/block nurse was the only person permitted to access the block needles; after a time-out period was complete, the nurse gave the needles to the anesthesiologist; and (2) the nurse remained at the patient's bedside until the PNB was initiated.
View Article and Find Full Text PDFCPE for leaders: Adapting Clinical Pastoral Education's learning methodology for healthcare managers and directors.
J Health Care Chaplain
October 2022
Medical Director, Center for Spirituality and Health, Director of QAPI, Center for Stress, Resilience and Personal Growth, Icahn School of Medicine at Mount Sinai, Mount Sinai, NY, USA.
Clinical Pastoral Education (CPE), a training program for spiritual care providers, was adapted to meet the leadership development needs of a group of six healthcare managers. A focus group was conducted with the six participants to learn more about the program and its effects. Using thematic analysis, transcripts of the focus group were analyzed and seven themes were identified.
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